Individual
DR. JOHN VALLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 DEPOT STREET, OPELOUSAS, LA 70570
(337) 543-1063
(337) 543-1073
Mailing address
PO BOX 360, LAWTELL, LA 70550-0360
(337) 543-1063
(337) 543-1073
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
08449R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1921033
—
LA
01
—
436845923B
BLUE CROSS/BLUE SHIELD
LA
Enumeration date
09/14/2005
Last updated
07/08/2007
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